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1629835145
JOSEPH WYATT COLONEL
VACAVILLE, CA
NPI
1629835145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: 145247)
Enumeration Date
2024-03-01
Last Update Date
2024-03-22
Business Address
JOSEPH WYATT COLONEL AMFT
101 MARKHAM AVE
VACAVILLE, CA 95688-2312
Phone number: 707-453-6230
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Mailing Address
JOSEPH WYATT COLONEL AMFT
401 NUT TREE RD
VACAVILLE, CA 95687-3508
Phone number: 859-630-7391
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